Jencare Neighborhood Medical South Park LLC
NPI #1134489214 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1134489214
- Entity Type
- Organization
- Organization Name
- Jencare Neighborhood Medical South Park LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- May 22, 2012
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 524 SOUTHPARK BLVD
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-3609
- Phone
- (305) 653-1770
Authorized Official
- Name
- MARY CHEN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 831-4722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Non-Pharmacy Dispensing Site |
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